York Black Research Seed Grant - Application Form (Winter 2024)

All applicants who identify as Black are eligible, but priority will be given to Early-Career (pre-tenure, tenure track) Black Researchers and Post-Doctorate Fellows. Projects in all disciplines are welcome. Those from STEM are also encouraged to apply. The deadline to submit your application form is January 22, 2024 at 4:30pm. All fields with a red * are mandatory fields and need to be filled out in its entirety.

Part A - Personal Information
Name Name * First Last
Academic Rank *

*Phd students needs to demonstrate how your current research proposal is connected to your dissertation.*
Department *
Home Faculty *
Partner, if appropriate
Campus Address *
E-mail *
Phone Phone * - ### - ### ####
Year Appointed to York Faculty, if appropriate
Affiliation(s)/Experience

Please describe your Affiliation, your current and previous experience conducting research with community partners, if applicable. Position yourself in relationship with the research question, why is it important to you and how do you envision it contributing to community wellbeing. Will community members be involved in the proposed research? If so, how was the community partner's needs or interest in the project established?

Max ½ page attachment, 12 pt font.
File Name: Applicant Last Name, First Initial_Partner Affiliation *

Attach Files

File Name: Applicant Last Name, First Initial_Partner Affiliation
Up-to-date CV *

Attach Files
Part B1 - Previous York Black Research Seed Grant Funding
Did you receive a research seed grant in the previous round (Spring 2022)? *

Did you receive a research seed grant in the previous round (Spring 2022)? Yes No

If you answer "yes", please also complete the following fields.
What was the end date?
Is the project complete?
Did you/will you apply for external research funds? If so, please describe.

Max ½ page attachment, 12 pt font.
File Name: Applicant Last Name, First Initial_External Funds

Attach Files

File Name: Applicant Last Name, First Initial_External Funds
Part B2 - Partner Information

This section is optional but is required if the project is partnering with one or more community partners and/or organizations. For more than six partner organizations please append a separate sheet
This application involves the following number of community partners and/or organizations: *

This application involves the following number of community partners and/or organizations: No community partners or organizations One partner or organization Two community partners and/or organizations Three community partners and/or organizations Four community partners and/or organizations Five community partners and/or organizations Six or more community partners and/or organizations
Name of First Partner Organization
Name of First Key Partner Contact
Title/Position of Key Partner Contact
Black Affiliation

Black Affiliation Yes No
Address of First Partner Organization Address of First Partner Organization
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
E-mail of First Key Contact
Phone of First Key Contact Phone of First Key Contact - ### - ### ####
If existing collaboration, how many years and under what circumstances have you worked together?
Name of Second Partner Organization
Name of Second Key Partner Contact
Title/Position of Key Partner Contact
Black Affiliation

Black Affiliation Yes No
Address of Second Partner Organization Address of Second Partner Organization
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
E-mail of Second Key Contact
Phone of Second Key Contact Phone of Second Key Contact - ### - ### ####
If existing collaboration, how many years and under what circumstances have you worked together?
Name of Third Partner Organization
Name of Third Key Partner Contact
Title/Position of Key Partner Contact
Black Affiliation

Black Affiliation Yes No
Address of Third Partner Organization Address of Third Partner Organization
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
E-mail of Third Key Contact
Phone of Third Key Contact Phone of Third Key Contact - ### - ### ####
If existing collaboration, how many years and under what circumstances have you worked together?
Name of Fourth Partner Organization
Name of Fourth Key Partner Contact
Title/Position of Key Partner Contact
Black Affiliation

Black Affiliation Yes No
Address of Fourth Partner Organization Address of Fourth Partner Organization
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
E-mail of Fourth Key Contact
Phone of Fourth Key Contact Phone of Fourth Key Contact - ### - ### ####
If existing collaboration, how many years and under what circumstances have you worked together?
Name of Fifth Partner Organization
Name of Fifth Key Partner Contact
Title/Position of Key Partner Contact
Black Affiliation

Black Affiliation Yes No
Address of Fifth Partner organization Address of Fifth Partner organization
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
E-mail of Fifth Key Contact
Phone of Fifth Key Contact Phone of Fifth Key Contact - ### - ### ####
If existing collaboration, how many years and under what circumstances have you worked together?
Name of Sixth Partner Organization
Name of Sixth Key Partner Contact
Title/Position of Key Partner Contact
Black Affiliation

Black Affiliation Yes No
Address of Sixth Partner Organization Address of Sixth Partner Organization
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
E-mail of Sixth Key Contact
Phone of Sixth Key Contact Phone of Sixth Key Contact - ### - ### ####
If existing collaboration, how many years and under what circumstances have you worked together?
For seven or more partner organizations please append a separate sheet. Your document should include:
1)Name of partner organization
2)Name & Title of Key Partner Contact
3)Black Affiliation (Yes/No)
4)Address of partner organization
5)E-mail of key contact
6)Phone of key contact
7)If existing collaboration, how many years and under what circumstances have you worked together?

File Name: Applicant Last Name, First Initial_Community Partners

Attach Files

File Name: Applicant Last Name, First Initial_Community Partners
Part B3 - Description of Research Funding
Project Title *
Amount Requesting *

Includes additional cash and in-kind Resources for this project (identify confirmed or not confirmed; this is not a requirement)
Project Start Date Project Start Date * / MM / DD YYYY
Project End Date Project End Date * / MM / DD YYYY
Part B4 - Detailed Description of Research Project and Anticipated Outcomes
Give a detailed description of your project, its rationale, its importance, and your need for seed funds. Your proposal should be written in clear, plain language. Avoid discipline-specific jargon, acronyms and highly technical terms when writing the description. Be sure to include:

1) Background academic and other forms of literature/knowledge
2) Purpose, hypothesis, research questions and/or overall objective
3) Specific activities, their methodologies and anticipated results
4) A timeline and work plan with anticipated milestones
5) Anticipated scholarly and other culturally specific dissemination activities
6) Training provided for academic and community members as applicable

Max 4 page attachment, 12 pt font.
File Name: Applicant Last Name, First Initial_Project Description * *

Attach Files
Part B5 - Future Research Opportunities
Provide a rationale for how the Black Research Seed Fund will potentially contribute to future research and a potential external grant application.

Max ½ page attachment, 12 pt font.
File Name: Applicant Last Name, First Initial_Future Research *

Attach Files
Part C - Budget

Black Research Seed Fund is not available for current projects with applications to another funding source, work already completed, or "set-up" costs (usually borne by Faculties and Department)
Download the provided Budget Template by inserting the URL BELOW into your browser. You must SAVE A COPY of this template on your desktop prior to filling in the form and RE-SUBMITTING it under “Part C – Budget”.

https://yuoffice-my.sharepoint.com/:w:/g/personal/ktejas_yorku_ca/Ea8T2Sx2I51NnY3q_HG6E2EBLOPFyEx2aa_jrJ7EZgfXjQ?e=jAvffo
Please provide a coherent budget with justification for the use of the proposed award, as an additional attachment. Funds will normally be available for a 24-month project. The cost centre will be open for 25 months to allow for the processing of expenses incurred up to the end of the 24th month, but no additional expenses will be processed. Funds remaining at the end of the project will be returned to the funder and used to support other projects.

Budget Template + Max ½ page attachment for Budget Justification, 12 pt font.
File Name: Applicant Last Name, First Initial_Budget Rational *

Attach Files

Upload your budget template and budget justification here
Part D - Applicant's Signature
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date * / MM / DD YYYY
Deadline Reminder

The application and supporting documents are to be submitted via the Mach Form by January 22, 2024 at 4:30pm.
Checklist - When you submit your application, please ensure to include the following in addition to the completed application form:

Checklist - When you submit your application, please ensure to include the following in addition to the completed application form: A description of your Affiliation, your current and previous experience conducting research and/or research with community partners. An up-to-date CV. A detailed description of the research project and your anticipated outcomes. A brief rationale of how the seed grant may lead to future research projects and/or the potential for a future external grant application. A detailed budget. *If applicable: A brief description of external research funds you have/will apply for. *If applicable: A list of partner organizations (if the list exceeds six).

York Black Research Seed Grant - Application Form (Winter 2024)

York Black Research Seed Grant - Application Form (Winter 2024)

Part A - Personal Information

Part B1 - Previous York Black Research Seed Grant Funding

Part B2 - Partner Information

Part B3 - Description of Research Funding

Part B4 - Detailed Description of Research Project and Anticipated Outcomes

Part B5 - Future Research Opportunities

Part C - Budget

Download the provided Budget Template by inserting the URL BELOW into your browser. You must SAVE A COPY of this template on your desktop prior to filling in the form and RE-SUBMITTING it under “Part C – Budget”.

Part D - Applicant's Signature

Deadline Reminder